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진균구로 오인된 낭포내 응혈을 보인 23세 여자에서의 선천성 낭포성 유선종 폐기형 1례
이강룡 ( Gang Ryong Lee ),이군순 ( Kun Sun Lee ),주인규 ( In Kyu Joo ),박준옥 ( June Ock Park ),최승준 ( Seung Jun Choi ),이원석 ( Won Seok Lee ),김의숙 ( Eui Sook Kim ),이규현,김대하 ( Dae Ha Kim ),이광섭 ( Gwang Seob Lee ),한영숙 ( 대한결핵 및 호흡기학회 1999 Tuberculosis and Respiratory Diseases Vol.46 No.1
진균구로 오인된 낭포내 응혈을 보인 23세 여자에서의 선천성 낭포성 유선종 폐기형 1례
이강룡,이군순,주인규,박준옥,최승준,이원석,김의숙,이규현,김대하,이광섭,한영숙,지미경,박정웅,Lee, Gang-Ryong,Lee, Kun-Sun,Joo, In-Kyu,Park, June-Ock,Choi, Seung-Jun,Lee, Won-Seok,Kim, Eui-Sook,Lee, Gyu-Hyeon,Kim, Dae-Ha,Lee, Gwang-Seob,Han, 대한결핵및호흡기학회 1999 Tuberculosis and Respiratory Diseases Vol.46 No.1
We describe unusual manifestations of congenital cystic adenomatoid malformation (C.C.A.M.) of the lung, such as movable fungal ball-like intracystic blood clots and hemoptysis, which were detected in previously healthy 23 years-old woman. We identified blood clots only after left upper lobectomy and could not distinguish from fungal ball with radiographic methods. CCAM of the lung, rare and lethal form of congenital pulmonary cystic disease, was initially introduced by Ch, in and Tang in 1949. The histogenesis of this lesion is characterized by polypoid glandular tissue proliferation and overgrowth of mesenchymal elements due to cessation of bronchiolar maturation which occurred in after 16weeks intrauterine period. In 80-95% of reported cases, the lesion was confined to a single lobe and there was no lobe and right and left lung predilection The clinical presentation may be widely variable, ranging from intrauterine fetal death to late discovery in childhood with recurrent pulmonary infection. But there,s no reports which were misdiagnosed with intracystic fungal ball. The treatment choice is lobectomy of affected lobe. There,s a few case reports with rhabdomyosarcoma, bronchiolar cell carcinoma and myxosarcoma arising in CCAM patients. Therefore, early resection is recommended even if asymtomatic cases. We experienced a rare case of CCAM of the lung in 23 years old female, and there were intracystic fungal ball-like movable blood clots in lower portion of left lung. After left upper lobectomy was performed, now she is discharged and followed up without any complications.
다발성 소방이 형성된 결핵성 흉막염 환자에서 경부에 결핵성 단일 한성농양을 보인
이정아 ( Jeong Aa Lee ),김의숙 ( Eui Sook Kim ),백영주 ( Young Joo Baek ),이광섭 ( Gwang Seob Lee ),선우인철 ( In Cheol Sunwoo ),김대하 ( Dae Ha Kim ),장지정 ( Jie Jeong Jang ),박석민 ( Suck Min Park ),지미경 ( Mi Kyung Ji ) 대한결핵 및 호흡기학회 1996 Tuberculosis and Respiratory Diseases Vol.43 No.3
이달의 x-선 : 흉부 X-선상 속립성 결핵과 유사한 양상을 보인 Mycoplasma 폐렴에서 ARDS로 진행된 1예
김의숙 ( Eui Sook Kim ),이원석 ( Won Seok Lee ),이강룡 ( Kang Ryung Lee ),이정아 ( Jeong Aa Lee ),백영주 ( Young Joo Baek ),이광섭 ( Gwang Seob Lee ),선우인철 ( In Cheol Sunwoo ),김대하 ( Dae Ha Kim ),장지정 ( Jie Jeong Jang ) 대한결핵 및 호흡기학회 1996 Tuberculosis and Respiratory Diseases Vol.43 No.4
전자 현미경상 Epinephrine 과립이 관찰된 Zuckerkandl 기관에 발생한 Norepinephrine 분비성 갈색세포종 1예
이원석,김의숙,이강룡,이정아,장지정,선우인철,김대하,이광섭,백영주 대한내분비학회 1996 Endocrinology and metabolism Vol.11 No.2
Extraadrenal pheochromocytomas developed from the paraganglia other than adrenal medulla are uncommon tumors. Such lesions have been reported that as much as 10% of retroperitoneal paragliomas arise outside the adrenal gland. But their incidence and prognosis are changing partly as a result of progression in developmental mechanism, diagnostic tools and concepts including ultrastructure, immunohistochemistry. The ultrastructure of chromaffine neoplasm from adrenal and extraadrenal tissues has been studied with chrornaffine granule specificity and type of catecholamine content. With rare exceptions, extraadrenal chrornaffine tumor mainly has high concentration of norepinephrine which is suggested as dict relationship to numoruos electrone dense granular bodies in the cell cytoplasrm. High or intermediate level of epinephrine in tissue is associated with cytoplasmic granular bodies of much less density. Recently we experienced the exception, a case of norepinephrine secreting pheochrom-ocytoma in the organ of Zuckerkandl with epinephrine granules in cytoplasm and this discrepancy probably due to the plasticity - the differences in developmental process and local factors between adrenal medulla and extraadrenal tissues(J Kor Soc Endocrinol 11:233 ~239, 1996).
김신응,이광섭,선우인철,김종만 대한감염학회 1994 감염 Vol.26 No.3
AIDS란 HIV감염증의 최종단계로서, 심한 면역결핍으로 인한 각종 기회감염 및 종양을 초래하고 결국 사망에 이른다. 결핵은 다른 기회감염의 병원균보다도 virulent하기 때문에, HIV감염 초기에 잘 발생하고 면역결핍이 심할수록 비전형적인 임상소견을 나타내며 예후가 불량하다. 저자들은 비특이증상으로 입원한 환자의 늑막삼출액에서 결핵균이 확인된 35세 남자 AIDS환자 1례를 경험하였기에 보고하는 바이다. HIV infection usually requires several years to progress to AIDS, the final stage of disease. Since Mycobacterium tuberculosis is more virulent than non-tuberculous mycobacterium and other opportunistic pathogens, tuberculosis tends to occur relatively early in the course of HIV immunosuppression as a reactivation of latent infection with increased frequency, especially more prevalent in endemic areas, and has been characterized by atypical clinical and radiograpgic presentation. A case of 35 year-old-man with shoulder pain, weakness and mild fever was experienced. Initial X-ray of the chest showing partial collapse on the left upper lobe which was taken one month earlier turned out to have pulmonary infiltrations, hilar lymphadenopathy and pleural effusion on admission. Culture for mycobacterium with pleural fluid resulted in the growth of Mycobacterium tuberculosis and anti-HIV antibody positivity with ELISA was confirmed by Western blot method.
김종만,홍선미,장미영,이광섭,김신응,조준길,선우인철 대한내과학회 1992 대한내과학회지 Vol.43 No.6
The tissue damage associated with an electrical injury occurs when electric energy is converted to thermal energy or heat according to Joule's law, and it occurs not only cutaneous contact site but may also involve underlying tissue and organs along the route taken by the current between the entrance and exit sites. Among multiple interacting variables, inc1uding voltage, amperage, tissue resistance, type of current and current pathway, amperage is most important factor which relates closely to deep tissue injury and mortality. A case of 33 year old laborer with left hemiplegia after electric current of AC 380 voltage, 60 Hz was experienced. Normal initial brain CT scan turned out to have right hemorrhagic infarct 5 days later, and decreased infarct size 2 months later, with neurological sequelae of left hemiplegia.
폐렴을 동반한 15 세 남자 환자에서 발견된 선천성 낭포성 유선종 폐기형 1 예
한영숙,김의숙,이원석,이정아,장지정,선우인철,김대하,이광섭,백영주,이강룡,김신응,지미경 대한내과학회 1997 대한내과학회지 Vol.52 No.1
Congenital cystic adenomatoid malformation(C.C. A.M.) is a rare variant of congenital pulmonary cystic diseases. C.C.A.M. was first distinguished from other pulmonary cystic lesions by Ch'in and Tang in 1949. It is characterized by cessation of bronchiolar maturation with an overgrowth of mesenchymal elements and proliferation of polypoid glandular tissue in the absence of normal alveolar differentiation. In 80% to 95% of cases, C.C.A.M. of the lung is confinded to a single lobe and there is no lobe predilection and right and left predominance. The clinical presentation may be widely variable, ranging from intrauterine fetal death secondary to nonimmune hydrops fetalis to discovery in childhood after recurrent pulmonary infections. Definitive treatment is removal of affected lobe. In rare instances, there is cases of myxosarcoma, embryonal rhabdomyosarcoma. Bronchoalveolar carcinoma arising in C.C.A.M.. So, resection is recommended even if they are asymtomatic. We have experienced a case of congenital cystic adenomatoid malformation (type II) of the lung in 15 year old man with pneumonia. After the improvement of pneumonia, surgical operation was performed. A brief review of the related literature is presented.